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Uncategorized Published - 9 June, 2017    By - Dr Clemens
Ultrasound-Guided Regional Anesthesia Superior To IV Opioids for Pediatric Supracondylar Fractures

Ultrasound-guided regional anesthesia appears to be the superior treatment for supracondylar fractures in the pediatric population when compared with IV opioids. According to a recent pediatric study, regional anesthesia for closed reduction and percutaneous pinning demonstrated superior pain scores throughout hospitalization and at home when compared with standard therapy. The authors also reported decreased opioid […]

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Uncategorized Published - 9 June, 2017    By - Dr Clemens
Nitrous Oxide During Labor: Less Pain Relief, High Patient Satisfaction

Nitrous oxide has only recently been adopted in the United States to alleviate labor pain. Despite lower reported effectiveness for labor pain, the degree of patient satisfaction in women who received nitrous oxide is similar to that of women who received neuraxial modalities, according to a study described in Anesthesia & Analgesia.1 Although physicians in other […]

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Uncategorized Published - 9 June, 2017    By - Dr Clemens
Opioids vs NSAIDs Following Motor Vehicle Collision

Many patients with motor vehicle accidents experience acute musculoskeletal pain, which transforms to persistent pain in approximately 40% of cases. A study comparing opioids with nonsteroidal anti-inflammatory drugs (NSAIDs) prescribed for pain following a motor vehicle collision (MVC) found that opioids do not reduce the likelihood of developing persistent pain. In addition, opioids may lead […]

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Uncategorized Published - 9 June, 2017    By - Dr Clemens
HEMS RSI Protocol for Post-OHCA Anaesthesia – Midazolam-Fentanyl-Rocuronium

Anaesthesia · February 15, 2017 Authors: M Miller et al    Following the return of spontaneous circulation after out-of-hospital cardiac arrest, neurological dysfunction, airway or ventilatory compromise can impede transport to early percutaneous coronary intervention, necessitating pre-hospital or emergency department anaesthesia to facilitate this procedure. There are no published reports of the ideal induction agents in these patients. […]

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Uncategorized Published - 8 June, 2017    By - Dr Clemens
Thoracic Paravertebral Nerve Block for Postthoracotomy Pain

Although epidural anesthesia is considered the gold standard for postthoracotomy pain treatment, it is contraindicated in certain patients. According to a retrospective study by researchers at the Shizuoka Cancer Center in Japan, continuous thoracic paravertebral nerve block (PVB) is similarly effective as epidural anesthesia (EDA) for the management of postthoracotomy pain.1 Although EDA is considered […]

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